Organization
ATLANTA YOUTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MOORE MSW (DIRECTOR)
(678) 842-3856
Entity
Organization
Contact information
Practice address
2140 MCGEE RD STE C250, SNELLVILLE, GA 30078-2978
(678) 842-3856
Mailing address
2140 MCGEE RD STE C250, SNELLVILLE, GA 30078-2978
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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